2010-09-09_REPORT - M1980037HR

• Permit No: M1980037HR
• IBM Index Class Name: REPORT
• Doc Date: 9/9/2010
• Doc Name: Annual Fee/Report/Map
• From: Pioneer Sand
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

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ANN-t eAFIESud T R/EQUEST
PERMITTEE NAME: Pi neer Sand Company Inc
PERMIT NO.: YYY 1980-037-HR
OPERATION NAME: Ingleside Quarry
ANNIVERSARY DATE: October 1, 2010
ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date)
COUNTY: Larimer
RECEf1/Ep
?SEP 09 2010
/ Division of Reclamation,
-, ? Mining & Safety
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
-shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to dafe and durmg the preceding-year,-new-distur-banes-that_are_ anticipated to occur rs
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous year's map are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the
above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Joe Kraig
Permittee Name: Pioneer Sand Company Inc
Address: P.O. Box 7650
Colorado Springs, CO 80933-7650
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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